| Servicios De Esperanza, Llc | |
|
1061 S Getty St Muskegon MI 49442-4066 | |
| (231) 722-7980 | |
| (231) 722-7979 |
| Full Name | Servicios De Esperanza, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1061 S Getty St, Muskegon, Michigan |
| Authorized Official Name and Position | Angelita Valdez (OWNER) |
| Authorized Official Contact | 2313431360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Servicios De Esperanza, Llc Po Box 1588 Muskegon MI 49443-1588 Ph: () - | Servicios De Esperanza, Llc 1061 S Getty St Muskegon MI 49442-4066 Ph: (231) 722-7980 |
| NPI Number | 1083057749 |
|---|---|
| Provider Enumeration Date | 04/12/2013 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Medicare PECOS PAC ID | 7113148982 |
|---|---|
| Medicare Enrollment ID | O20141020001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083057749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Angelita E Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053557926 PECOS PAC ID: 8224275037 Enrollment ID: I20130515000657 |
| Provider Name | Angela M Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134571805 PECOS PAC ID: 8325328891 Enrollment ID: I20161130000198 |
| Provider Name | Mandi L Esman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760832216 PECOS PAC ID: 2163703471 Enrollment ID: I20161228001901 |
| Provider Name | Sonja Mayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013445725 PECOS PAC ID: 9931467735 Enrollment ID: I20171228001237 |
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